AMANDA GAIL DEAN MARTIN (NPI# 1841444858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841444858 |
| Entity Type | Individual |
| Full Name | AMANDA GAIL DEAN MARTIN |
| Credential | ACNP-BC |
| Practice Address |
2946 E. Banner Gateway Drive Gilbert AZ 85234 |
| Mailing Address |
2940 E Banner Gateway Dr Suite 450 Gilbert AZ 85234-2168 |
| Practice Telephone | 4802566444 |
| Practice Fax Number | 4802564734 |
| Mailing Telephone | 4802566444 |
| Mailing Fax Number | 4802564734 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 162351 | TN | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP4328 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
13770 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2946 E. BANNER GATEWAY DRIVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689648487 | Michelle Hopkins Carnes | Nurse Practitioner | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2006-02-16 |
| 1710532023 | Louise M. Baca Eller | Psychologist | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2019-08-04 |
| 1558743716 | Haley Marie Staudt | Physician Assistant | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2015-06-24 |
| 1164760625 | Ayesha Shaikh | Internal Medicine | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2013-01-17 |
| 1700028602 | Amanda D Davis | Physician Assistant | 2946 E. Banner Gateway Drive, Suite 450, Gilbert, AZ 85234 | 2009-03-24 |
| 1871798488 | Shefali Summant Birdi | Internal Medicine | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2007-06-15 |
| 1689718264 | Danielle Nance | Internal Medicine | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2007-02-16 |
| 1699703462 | Melissa Beth Shelby | Nurse Practitioner | 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962910877 | Peggy Hocutt | Nurse Practitioner | 3686 S Rome St Ste 201, Gilbert, AZ 85297-7341 | 2018-01-12 |
| 1467973156 | Michael Montoya | Nurse Practitioner | 2946 E Banner Gateway Drive - Bmdacc, Gilbert, AZ 85234 | 2017-07-03 |
| 1073059655 | Keata Bhakta | Nurse Practitioner | 721 E Elgin St, Gilbert, AZ 85295-1581 | 2017-01-06 |
| 1144770843 | Ansan Thomas | Nurse Practitioner | 1030 N Wade Dr, Gilbert, AZ 85234-2922 | 2016-10-06 |
| 1982070843 | Sharly K Thomas | Nurse Practitioner | 4099 E Bruce Ct, Gilbert, AZ 85234-0709 | 2015-08-14 |
| 1316324080 | Wendy Ann Robb | Nurse Practitioner | 1422 E Strawberry Dr, Gilbert, AZ 85298-0807 | 2015-05-01 |
| 1285030312 | Eddie Belleza Tabarangao | Nurse Practitioner | 4280 E Sierra Madre Ave, Gilbert, AZ 85296-1589 | 2014-11-17 |
| 1174949390 | Euly Cecille Smith | Nurse Practitioner | 3458 E Terrace Ave, Gilbert, AZ 85234-1721 | 2014-03-12 |
| 1801219449 | Hannah Bangura | Nurse Practitioner | 880 N. Colorado Strees, Gilbert, AZ 85233 | 2014-02-03 |
| 1154932051 | Margaret Capozzi | Nurse Practitioner | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2020-08-13 |
| Find all providers in GILBERT | ||||
Please comment or provide details below to improve the information on AMANDA GAIL DEAN MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.